Individual
CAINE CHARLES VAN DE WATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5227
(907) 276-3800
Mailing address
3720 REFLECTION DR, ANCHORAGE, AK 99504-4390
(907) 782-9154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
202827
AK
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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